ࡱ > % bjbjoo "0 # 8 $ % $ A A U a i = A i m h q : i [ 5 R { 0 $ i i i { : Request for Exemption from the NIH Guidelines for Research Involving Recombinant DNA Molecules PI Project title: Department: Brief summary: You can attach a copy of the methods section of your grant Application Principal Investigator's Statement of Exemption The following is a list of exempt activities for the use of rDNA under the NIH Guidelines (April 2002), Section III F. For more details, reference the NIH Guidelines. Check the appropriate exempt category for your experiments: FORMCHECKBOX Section III-F-1. Those that are not in organisms or viruses. FORMCHECKBOX Section III-F-2. Those that consist entirely of DNA segments from a single nonchromosomal or viral DNA source, though one or more of the segments may be a synthetic equivalent. FORMCHECKBOX Section III-F-3. Those that consist entirely of DNA from a prokaryotic host including its indigenous plasmids or viruses when propagated only in that host (or a closely related strain of the same species), or when transferred to another host by well established physiological means. FORMCHECKBOX Section III-F-4. Those that consist entirely of DNA from an eukaryotic host including its chloroplasts, mitochondria, or plasmids (but excluding viruses) when propagated only in that host (or a closely related strain of the same species). FORMCHECKBOX Section III-F-5. Those that consist entirely of DNA segments from different species that exchange DNA by known physiological processes, though one or more of the segments may be a synthetic equivalent. A list of such exchangers will be prepared and periodically revised by the NIH Director with advice of the RAC after appropriate notice and opportunity for public comment (see HYPERLINK "http://www4.od.nih.gov/oba/rac/guidelines_02/NIH_Guidelines_Apr_02.htm" \l "_Section_IV-C-1-b-(1)._Major#_Section_IV-C-1-b-(1)._Major" Section IV-C-1-b-(1)-(c), Major Actions). See HYPERLINK "http://www4.od.nih.gov/oba/rac/guidelines_02/APPENDIX_A.htm" \n Appendices A-I through A-VI, Exemptions Under Section III-F-5--Sublists of Natural Exchangers, for a list of natural exchangers that are exempt from the NIH Guidelines. FORMCHECKBOX Section III-F-6. Those that do not present a significant risk to health or the environment (see HYPERLINK "http://www4.od.nih.gov/oba/rac/guidelines_02/NIH_Guidelines_Apr_02.htm" \l "_Section_IV-C-1-b-(1)._Major#_Section_IV-C-1-b-(1)._Major" Section IV-C-1-b-(1)-(c), Major Actions), as determined by the NIH Director, with the advice of the RAC, and following appropriate notice and opportunity for public comment. See HYPERLINK "http://www4.od.nih.gov/oba/rac/guidelines_02/APPENDIX_C.htm" \n Appendix C, Exemptions under Section III-F-6 for other classes of experiments which are exempt from the NIH Guidelines. Submit this statement to the IBC prior to initiating the experiment(s). By submitting this statement to the IBC, I confirm that the project for which I am proposing to undertake is exempt from NIH Guidelines and that I acknowledge if non-exempt agents will be used, I will submit "Application for the Use of Recombinant DNA in Research" prior to acquisition/use of those agents. PI Signature: _______________________________________ BSO Signature________________________________________________ $ E F _ b P Q _ ` a b r % tfTf #j h haR CJ UaJ h haR 5CJ \aJ #jo h haR CJ UaJ j h haR CJ UaJ h haR CJ aJ hCh haR 5CJ aJ haR CJ haR 5CJ haR 5CJ haR 5CJ aJ h@ haR 5B*\ph3f haR 5\ hE 5\ h0 hE 5\ h0 hE 5j hE U ` a b e f u v $ ` 0d ^`0a$gdaR $]a$gdaR gdaR $a$ N P E G I K ! " j k 1$ H$ gdaR 1$ H$ ^`gdaR ]gdaR $]a$gdaR $ ` d a$gdaR % & ' ( 8 G H V W X Y i K L Z [ \ ] m m n o ӻӻӉzlZz #j* h@ haR CJ UaJ h haR 6CJ ]aJ h haR B*CJ aJ ph #j h@ haR CJ UaJ j? haR CJ Ujˌ haR CJ U haR CJ j haR CJ Uh haR 5CJ \aJ h haR CJ aJ j h haR CJ UaJ #jW h haR CJ UaJ # L V W " " # ϴ瓥rggg hZs haR CJ aJ #j h@ haR CJ UaJ h haR B*CJ aJ ph #j h@ haR CJ UaJ j h haR CJ UaJ h haR 5CJ \aJ j haR CJ U haR CJ j haR CJ UhaR CJ aJ h haR CJ aJ h haR 6CJ ]aJ & ! " # $ % 1$ H$ ^`gdaR # $ % h haR CJ aJ haR 1h/ =!"#$% o D d ,` P C , A P i c t u r e 2 b ˊ Ti1CAp&m D n Ti1CAp&mPNG IHDR /q iCCPICC Profile xkQŶVYĮb=TH%Tz2iUhmn!饗 ړWO ED *! /|f~=)Og''Bbq